Ananda Walaliyadda in Pocatello - Specialist
Ananda Walaliyadda - NPI 1497747703
Ananda Walaliyadda is a Specialist in Pocatello, Idaho. Ananda Walaliyadda practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ananda Walaliyadda is 1497747703. The last update date is 2022-06-29.
Ananda Walaliyadda's current location address is 1448 E Center St, Pocatello, Idaho. You can contact this provider via phone number 2082341300 and fax number 2082341333. The mailing address for Ananda Walaliyadda is 1448 E Center St, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ananda Walaliyadda |
|---|---|
| Address | 1448 E Center St, Pocatello, Idaho |
| Phone Number | 2082341300 |
| Fax Number | 2082341333 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1497747703 |
|---|---|
| Provider Enumeration Date | 2005-08-22 |
| Last Updated Date | 2022-06-29 |
Provider Mailing Address Detail
| Address | 1448 E Center St |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832014132 |
| Phone Number | 2082341300 |
| Fax Number | 2082341333 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | M8731 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| J9521 | ID | BLUE CROSS |
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What is the unique 10-digit identification code issued to Ananda Walaliyadda by the Centers for Medicare & Medicaid Services?
The Ananda Walaliyadda has been assigned the NPI (National Provider Identifier) 1497747703 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Ananda Walaliyadda?
The Ananda Walaliyadda is situated at 1448 E Center St, in the city of Pocatello, state of ID, with the zip code 832014132.
What is Ananda Walaliyadda's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ananda Walaliyadda's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497747703 to Ananda Walaliyadda?
The Centers for Medicare & Medicaid Services assigned the 1497747703 to Ananda Walaliyadda on 2005-08-22.
When was the information regarding Ananda Walaliyadda, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ananda Walaliyadda, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-06-29.
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